Purpose To assess the knowledge and practice of self-care management among patients with heart failure (HF) after Roy adaptation theory-guided educational program. Methodology One group quasi-experimental pretest–posttest design of 30 purposively selected patients with HF was conducted. Outcomes were examined under three domains: knowledge, self-care maintenance, and monitoring pre- and post-intervention, using a validated instrument based on four adaptive modes of Roy's theory. Major results Most of the respondents were male (76.6%) and 56.7% were over 60 years of age. At the pretest, only 16.7% demonstrated adequate knowledge of self-care, and 76.7% reported poor practices in the domains of self-care maintenance and monitoring. Also, 90% scored poorly in self-care management. Knowledge of self-care practices increased at post-test (93.3%). There was a significant difference in knowledge ( t = 15.79, df = 29, p < .001) and practice ( t = 9.35, df = 29, p < .001) pre- and post-intervention. However, there was no significant association between selected demographic characteristics, knowledge, and self-care practice ( p > .05). Conclusion Knowledge and practice of self-care management are poor among patients with HF. However, theory-driven practice can enhance care and patients’ quality of life.

Background: Student nurses are the future healthcare providers. Safe nursing practice is crucial as they often are exposed to multiple infections, including bloodborne pathogens, during their clinical practice. To assess the factors that influence adherence to standard precautions among nursing students and to find the association between adherence to standard precautions with their selected demographic variables. Methods: A cross-sectional study was conducted among 103 undergraduate nursing students recruited by convenient sampling technique from a selected health sciences university. Adherence to standard precautions was assessed using a standardized questionnaire, ‘Factors Influencing Adherence to Standard Precautions Scale-Student Version’ (FIASPS-SV). Using SPSS version 23 the data were analysed with descriptive and inferential statistics. Frequency and percentage were used to describe the socio-demographic characteristics. Inferential statistics, namely the Chi-Square test, was used to find out the association between FIASPS-SV and their demographic variables. The P value less than 0.05 was taken as statistically significant. Results: The ‘contextual cues’ was found to be the most influencing factor [Total Mean 21.98(6.148), Range 0-28; Mean Response Range of 3.18(.32), Response Range 1-4] while the factor ‘justification’ Fwas found to be the least influencing factor [Total Mean 7.31(6.1285), Range 0-28; Mean Response Range -1.06 (.23), Response Range 1-4] for the adherence of standard precautions among the study participants. A statistically significant association was found between age and specific factors of ‘Leadership’ & ‘Contextual cues’. Gender was found to be associated with specific factors of ‘Justification’ and ‘Contextual cues.’ Conclusion: The study findings showed that the overall student adherence to standard precautions was good. However, they need to improve in some areas, like wearing gloves when drawing blood or cannulation, following standard precautions when handling needles, and confronting people when they are not adhering to these precautions. The faculty should reinforce and encourage the students to implement standard precaution practices effectively at clinical settings to promote safe practice.

Art therapy the essence of psychotherapy enables to reduce patient’s suffering from pain sensation by focusing the way the patient perceives the current situation; pain relieved as well along the way. The aim of the study was to assess the effectiveness of art therapy on pain perception among postoperative orthopedic patients and to find association between pain perception scores of postoperative patient with their selected demographic and clinical variables.Pre-experimental research design among 50 orthopedic post-operative selected using consecutive sampling technique. Demographic data, clinical data and pain scores assessed using numeric pain scale before and after the art therapy for three consecutive days. Majority (70%) of the participants were males. About 62% were married and 42% had primary level of education. Majority (32%) had road traffic accident and 28% meet with work site injuries. On day-1 pre-art most of the patients (52%) experienced moderate to severe pain (28%), on day-2 and day-3, they experienced mild (44%) to moderate (42%) level of pain. After an hour of the art therapy, pain assessment on day-1, the patients had mild (38%) to moderate (34%), while on day-2, majority (72%) experienced mild pain and 26% had moderate pain. On day-3, the pain was verbalized to be with mild (78%) to moderate (22%). Art therapy was effective in reducing pain (p=0.000) Variables like age, gender, educational level and nationality were noted to be significantly associated with the pain scores along with diabetes, hypertension, and type of injury. Art therapy is beneficial hence be utilized effectively by nurses to help alleviate pain among post- operative orthopedic patients.

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